FACULTY OF SCIENCE

Co-op and Internship Office

EEEL 445, 2500 University Drive NW
Calgary, AB, Canada T2N 1N4
ucalgary.ca/science/undergraduate/co_op_internship

Work Term Report - Employer Release Form

Student Information:
Student Name:
Work Term #: Work Term Dates:

Employer Information:
Organization:
Position Title:

Supervisor Consent:
I have read the attached work term report.

This report is (check all that apply):

Approved for review by Co-op/Internship staff and faculty.

Confidential not to be shared outside Co-op/Internship staff and faculty.

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Name(s) of Supervisors

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Signature(s)

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Date (DD/MM/YY)